Provider Demographics
NPI:1386876936
Name:WEISHOFF, ROBERT S (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:WEISHOFF
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8751 SW 52ND CT
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-4318
Mailing Address - Country:US
Mailing Address - Phone:954-434-7446
Mailing Address - Fax:
Practice Address - Street 1:8751 SW 52ND CT
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-4318
Practice Address - Country:US
Practice Address - Phone:954-434-7446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-17
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN174591223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics